HomeMy WebLinkAboutPymm (2) , �
0644,
?' ;' �.. Town Hall, 53095 Main Road
.4' P.O. Box 1179
� i!! Southold, New York 11971
JUDITH T.TERRY % FAX(516)765-1823
TOWN CLERK TELEPHONE(516)7654801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 522 R ,Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : AHLERS, GORDON K.
Address 1 : BOX 6
City St Zip JAMESPORT NY 11947
Descripton of Proposed Construction or Alteration
NEW SINGLE FAMILY DWELLING WITH CESSPOOL SYSTEM.
APPROVED AS SUBMITTED AND AS APPROVED BY THE SUFFOLK COUNTY DEPARTMENT
OF HEALTH SERVICES 5/19/89. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner WILLIAM, PYMM
Mailing Address 1
City St Zip 0000
Property Address 1 CAMP MINEOLA ROW
City St Zip MATTITUCK NY 11952
Tax Map No. section 122.00 block 9 lot 7.009
Cross Street NEW SUFFOLK AVENUE
Building Permit Number Cross Reference:
Issue Date: 8/08/89 Judith T. Terry
Southold- Town Clerk
(TOWN SEAL)
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, Q P.O. Box 1179
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e.:®� ' , Southold, New York 11971
JUDITH T.TERRY -_A.,..•••014 V TELEPHONE
TOWN CLERK (516) 765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
To: Victor Lessard, Southold Town Building Department
From: Linda Cooper, Southold Town Clerk's Office
Dated: July 25, 1989
Transmitted herewith is a copy of application No. 535 for •a Cesspool/
Septic Tank Construction Permit submitted by:
Gordon K. Ahlers PE for Mr. and Mrs. William Pymm •
Please review the application and location map and advise if the project
has received Suffolk County Health Department approval and if this office
may issue the permit.
Please complete the form below and return it to me.
Thank you.
®$
�CQ.4(F,
Linda J. Cooper
* ��� * * * * * * * *
I have r ,s . ` he application and location map of the project cited above
and ma • eollowing recommendations:
APPROVE X
DISAPPROVE n �1 \ (J
Comments: a....0 ,� .d[v. Ce-a)1.14... c r, catb.c .ki-- AA-A- °1- kr
hi % . . . fi. ..$)(v-. s( I "( .35 . ,,, .
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RECE \C.*c_it...,.„ 4).2.4,raLAS.
bs Signature
AUG ®71989 1 -) 3
Dated
01- THE TOWN CLERK (NCO rOLA/ O
own of Southold 6 NCA lication No. 1/45-3-5Judith'T. Terry, Town Clerk / +x - pp
Town Hall, 53095 Main Road o = ncilta Construction
P. O. Box 1179
Southold, New York 11971 O ' r Alteration
Telephone '01 ��O Residential
(516) 765-1801 Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $ 1p
DATE
APPLICANT NAME: 4 efZpati) -g pe/i4414Rim, (2yMM
APPLICANT ADDRESS: bog h.,I4 r1 10-1,k r)g47
SEPTIC / CESSPOOL 5
DESCRIPTION OF PROPOSED CONSTRUCTION OR ALTERATION
t\1 ) 4Z' YQE-4 I4E
LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: NtillitdiA4g5 Wive
OWNER MAILING ADDRESS:
OWNER PROPERTY ADDRESS: e-_l✓ve_
M• rr TUGGC, te met Sx
TELEPHONE NUMBER OF CONTACT PERSON: 72-2. -"5"2-Z7
TAX MAP NO. : Section (boa Block 22 Lot q _ 7, j
CROSS STREET: •
BUILDING PERMIT NUMBER CROSS REFERENCE:_
Signature of Applicant
RECEIVED BY:
orlk's ffice
DATE:
JUL 2 5 1969
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